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<title>Estimated Closing Costs</title>
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<table border="1" width="100%">
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		<td colspan="4" align="center">Estimated Closing Costs</td>
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		<td colspan="4" align="center">Household Title &amp; Escrow, LLC<br />
      Phone: 1-877-238-8700 Fax: 1-877-238-8701<br />
      Email: orders@householdtitle.com<br />
    www.householdtitle.com</td>
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		<td align="right" width="39%">Transaction type:</td>
		<td width="16%">[TRANSACTIONTYPE]</td>
		<td align="right" width="35%">&nbsp;</td>
		<td width="8%">&nbsp;</td>
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		<td align="right" width="39%">State:</td>
		<td width="16%">[STATE]</td>
		<td align="right" width="35%">&nbsp;</td>
		<td width="8%">&nbsp;</td>
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		<td align="right" width="39%">County:</td>
		<td width="16%">[COUNTY]</td>
		<td align="right" width="35%">Locale:</td>
		<td width="8%">[LOCALE]</td>
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		<td align="right" width="39%">[Primary Residence]:</td>
		<td width="16%">[PRIMARYRESIDENT]</td>
		<td align="right" width="35%">&nbsp;</td>
		<td width="8%">&nbsp;</td>
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		<td align="right" width="39%">1st Loan Amount:</td>
		<td width="16%">[LOAN1]</td>
		<td align="right" width="35%">2nd Loan Amount:</td>
		<td width="8%">[LOAN2]</td>
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		<td align="right" width="39%">[Principal balance #1 to be paid off]:</td>
		<td width="16%">[PAIDOFF1]</td>
		<td align="right" width="35%">Principal balance #2 to be paid off]:</td>
		<td width="8%">[PAIDOFF2]</td>
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		<td align="right" width="39%">Same lender:</td>
		<td width="16%">[SAMELENDER]</td>
		<td width="35%">&nbsp;</td>
		<td width="8%">&nbsp;</td>
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		<td width="39%">&nbsp;</td>
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		<td width="8%">&nbsp;</td>
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		<td width="39%">&nbsp;</td>
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		<td width="39%">&nbsp;</td>
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